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Qualified Clinical Data Registry Measures American College of Radiology National Radiology Data Registry Qualified Clinical Data Registry Measures January 2020 QCDR Measure Number ACRad 15 Measure Title: Report Turnaround Time: Radiography Measure Description Mean radiography report turnaround time (RTAT). (Does not include mammography.) This measure has been harmonized with MSN QCDR. QCDR Measure Type Existing Approved QCDR Measure with No Changes Does this measure belong to another QCDR? No NQF Number N/A NQS Domain Communication and Care Coordination Care Setting Ambulatory, Outpatient Hospital, Inpatient hospital Imaging facility, ED, Other Meaningful Measure Area Patient’s Experience of Care Meaningful Measure Area Rationale This measure is meant to ensure radiology reports are being written and completed in a reasonable timeframe from the completion of the exam. This means patients spend less time waiting for results and receive their reports promptly. Denominator Total number of radiography exams completed Denominator Elements Exam modality or CPT/HCPCS Code or ICD-10 PCS Code; Date/time of exam completion Denominator Exclusions None Denominator Exceptions None Numerator Mean time from exam completion to final signature on report, in hours Numerator Exclusions None Numerator Data Elements Date/time of exam completion; Date/time of report signed Number of performance rates to be submitted 1 Performance Rate Descriptions N/A Indicate an Overall Performance Rate if more N/A than 1 Measure Type (Process/Outcome) Outcome High Priority Measure Yes Outcome Measure Yes Page | 2 2020 Specifications January 2020 Inverse Measure Yes Proportion Measure No Continuous Measure Yes Ratio Measure No If continuous variable or ratio is chosen, what 0.00-9999.00 would be the range of the scores? Is the measure risk adjusted? No If risk-adjusted, which score is risk-adjusted? N/A Is the QCDR measure able to be abstracted? Yes Data Source Registry (General Radiology Improvement Database) Clinical Recommendation Statement This measure was approved by CMS for QCDR inclusion in 2014. The written imaging report is a key method for providing diagnostic interpretation to referring clinicians from radiologists. Timely final imaging reports support informed and efficient decision making for treatment plans by referring physicians, and ultimately the delivery of care to patients. While important to timely treatment and potentially better health outcomes, short turnaround of reports also improves patients' experience with care, cuts input costs, and improves the throughput of imaging exams. Rapid turnaround time (TAT) of reports is especially important to patient care provided in the emergency department (ED). These measures encompass all settings, enabling quality improvement in each. While the definition of timeliness depends on setting or site characteristics, using comparative benchmarks from registry data provides radiologists with transparent feedback to optimize TAT at their sites. The American Board of Radiology includes "turnaround time" as one category from which radiologists may select to conduct a practice quality improvement (Part IV) for continued Maintenance of Certification. Rationale This measure is modified to exclude mammography, because mammography is clinically distinct from other kinds of radiography procedures - it is overwhelmingly performed for screening asymoptomatic patients.) The written imaging report is a key method for providing diagnostic interpretation to referring clinicians from radiologists. Timely final imaging reports support informed and efficient decision making for treatment plans by referring physicians, and ultimately the delivery of care Page | 3 2020 Specifications January 2020 to patients. While important to timely treatment and potentially better health outcomes, short turnaround of reports also improves patients' experience with care, cuts input costs, and improves the throughput of imaging exams. Rapid turnaround time (TAT) of reports is especially important to patient care provided in the emergency department (ED). These measures encompass all settings, enabling quality improvement in each. While the definition of timeliness depends on setting or site characteristics, using comparative benchmarks from registry data provides radiologists with transparent feedback to optimize TAT at their sites. The American Board of Radiology includes "turnaround time" as one category from which radiologists may select to conduct a practice quality improvement (Part IV) for continued Maintenance of Certification. ACR Practice Guideline for Communication of Diagnostic Imaging Findings Specialty this measure applies to Radiology Measure Funding Source (Steward) American College of Radiology Page | 4 2020 Specifications January 2020 QCDR Measure Number ACRad 16 Measure Title: Report Turnaround Time: Ultrasound (Excluding Breast US) Measure Description Mean ultrasound report turnaround time (RTAT). This measure has been harmonized with MSN QCDR. QCDR Measure Type Existing Approved QCDR Measure with No Changes Does this measure belong to another QCDR? No NQF Number NQS Domain Communication and Care Coordination Care Setting Ambulatory, Outpatient hospital, Inpatient hospital, Imaging facility, ED, Other Meaningful Measure Area Patient’s Experience of Care Meaningful Measure Area Rationale This measure is meant to ensure radiology reports are being written and completed in a reasonable timeframe from the completion of the exam. This means patients spend less time waiting for results and receive their reports promptly. Denominator Total number of ultrasound exams completed (excluding breast US) Denominator Elements Exam modality or CPT/HCPCS Code or ICD-10 PCS Code; Date/time of exam completion Denominator Exclusions None Denominator Exceptions None Numerator Mean time from exam completion to final signature on report, in hours Numerator Exclusions None Numerator Data Elements Date/time of exam completion; Date/time of report signed Number of performance rates to be submitted 1 Performance Rate Description N/A Indicate an Overall Performance Rate if more N/A than 1 Measure Type (Process/Outcome) Outcome High Priority Measure Yes Outcome Measure Yes Page | 5 2020 Specifications January 2020 Inverse Measure Yes Proportion Measure No Continuous Measure Yes Ratio Measure No If continuous variable or ratio is chosen, what 0.00-9999.00 would be the range of the scores? Is the measure risk adjusted? No If risk-adjusted, which score is risk-adjusted? N/A Is the QCDR measure able to be abstracted? Yes Data Source Registry (General Radiology Improvement Database) Clinical Recommendation Statement This measure was approved by CMS for QCDR inclusion in 2014. The written imaging report is a key method for providing diagnostic interpretation to referring clinicians from radiologists. Timely final imaging reports support informed and efficient decision making for treatment plans by referring physicians, and ultimately the delivery of care to patients. While important to timely treatment and potentially better health outcomes, short turnaround of reports also improves patients' experience with care, cuts input costs, and improves the throughput of imaging exams. Rapid turnaround time (TAT) of reports is especially important to patient care provided in the emergency department (ED). These measures encompass all settings, enabling quality improvement in each. While the definition of timeliness depends on setting or site characteristics, using comparative benchmarks from registry data provides radiologists with transparent feedback to optimize TAT at their sites. The American Board of Radiology includes "turnaround time" as one category from which radiologists may select to conduct a practice quality improvement (Part IV) for continued Maintenance of Certification. Rationale The written imaging report is a key method for providing diagnostic interpretation to referring clinicians from radiologists. Timely final imaging reports support informed and efficient decision making for treatment plans by referring physicians, and ultimately the delivery of care to patients. While important to timely treatment and potentially better health outcomes, short turnaround of reports also improves patients' experience with care, cuts input costs, and Page | 6 2020 Specifications January 2020 improves the throughput of imaging exams. Rapid turnaround time (TAT) of reports is especially important to patient care provided in the emergency department (ED). These measures encompass all settings, enabling quality improvement in each. While the definition of timeliness depends on setting or site characteristics, using comparative benchmarks from registry data provides radiologists with transparent feedback to optimize TAT at their sites. The American Board of Radiology includes "turnaround time" as one category from which radiologists may select to conduct a practice quality improvement (Part IV) for continued Maintenance of Certification. ACR Practice Guideline for Communication of Diagnostic Imaging Findings Specialty this measure applies to Radiology Measure Funding Source (Steward) American College of Radiology Page | 7 2020 Specifications January 2020 QCDR Measure Number ACRad 17 Measure Title: Report Turnaround Time: MRI Measure Description Mean MRI report turnaround time (RTAT). This measure has been harmonized with MSN QCDR. QCDR Measure Type Existing Approved QCDR Measure with No Changes Does this measure belong to another QCDR? No NQF Number N/A NQS Domain Communication and Care Coordination
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